Individual
MICHAEL J HEIDTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 W GREENFIELD DR, LITTLE CHUTE, WI 54140-1115
(906) 362-8544
Mailing address
103 W GREENFIELD DR, LITTLE CHUTE, WI 54140-1115
(906) 362-8544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8764-123
WI
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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